ATI RN COMMUNITY HEALTH CMS
EXAM 2023 ALL 100 QUESTIONS AND
CORRECT ANSWERS (100% CORRECT
ANSWERS)/ CM ATI COMMUNITY
HEALTH PROCTORED EXAM
2024/2026(NEW!)
SECTION 1: INFECTION CONTROL & ISOLATION PRECAUTIONS
(Questions 1-15)
Question 1: A community health nurse is caring for a client who has laryngeal
tuberculosis. Which of the following isolation precautions should the nurse
recommend for this client?
A) Airborne precautions
B) Contact precautions
C) Protective environment
D) Droplet precautions
,,,,answer,,,: A. Airborne precautions
Rationale: Tuberculosis is primarily transmitted through the airborne route when
an infected person coughs, sneezes, or talks, releasing droplets containing the
,bacteria into the air. Airborne precautions require specialized respiratory
protection (such as N95 respirators) and placing the client in a negative pressure
room.
Question 2: A nurse is caring for a client who is newly diagnosed with active
pulmonary tuberculosis. Which of the following information should the nurse
include in the teaching about disease transmission?
A) "Household members should take isoniazid daily for at least 6 months."
B) "You can discontinue your medication once you feel better and your fever
subsides."
C) "You only need to wear a mask in crowded outdoor spaces."
D) "You will require weekly chest X-rays for the next 12 months."
,,,,answer,,,: A. "Household members should take isoniazid daily for at least 6
months."
*Rationale: Close contacts of individuals with active TB should take isoniazid
prophylaxis for a minimum of 6 months to prevent developing the disease
themselves. TB treatment requires 6-12 months of multidrug therapy;
discontinuation when feeling better leads to drug resistance. Masks are needed in
any shared indoor space.*
Question 3: A community health nurse is planning an in-service about sexually
transmitted infections to a group of adolescents. Which of the following clinical
findings should the nurse include as a manifestation of primary syphilis?
,A) Malaise
B) Maculopapular rash on palms
C) Chancre
D) Lymphadenopathy
,,,,answer,,,: C. Chancre
*Rationale: Primary syphilis is characterized by a painless chancre (ulcer) at the
site of infection, typically appearing 3-90 days after exposure. Secondary syphilis
presents with maculopapular rash on palms/soles, malaise, and lymphadenopathy.*
Question 4: A client comes to a community health clinic with a two-day history of
fever (38.3°C / 101°F), fatigue, loss of appetite, and headache. On examination, the
nurse observes a new, itchy, blister-like rash covering the face, chest, and back.
The provider has been notified. Which of the following interventions should the
nurse anticipate implementing?
A) Place the client on standard precautions only and allow visitors without PPE
B) Place the client in a negative-pressure airflow room and wear an N95 respirator
C) Restrict oral fluids to minimize the risk of additional skin lesions
D) Initiate droplet precautions and request a prescription for antibiotics
,,,,answer,,,: B. Place the client in a negative-pressure airflow room and wear
an N95 respirator
*Rationale: The clinical presentation suggests varicella (chickenpox), an airborne-
transmitted infection. Therefore, airborne isolation precautions are required,
including a negative-pressure room, N95 respirator use, and dedicated equipment.
Antibiotics are ineffective against viral infections.*
, Question 5: A school nurse is notified that an elementary school child is newly
diagnosed with pertussis. Which of the following actions should the school nurse
take? (Select All That Apply)
A) Instruct the parent to keep the child home until the coughing stage has passed
B) Encourage family members to obtain prophylactic treatment
C) Quarantine the children in the child's class
D) Recommend the child receive a pneumococcal vaccine in 28 days
E) Check the immunizations of the child's classmates
,,,,answer,,,: A, B, E
Rationale: The child should remain home during the contagious period (first 3
weeks or until completing 5 days of antibiotics). Family members need
prophylactic antibiotics. Checking immunization status of classmates identifies
susceptible contacts. Quarantine is not typically required for pertussis;
pneumococcal vaccine does not prevent pertussis.
Question 6: A nurse is developing an educational program about intestinal
parasitic disease for child day care staff. Which of the following should the nurse
emphasize to prevent transmission?
A) Spray snack tables with a baking soda solution weekly
B) Store children's personal items in separate lockers
C) Clean food preparation areas with soap and water daily
D) Wipe changing tables with a dilute bleach solution between children
EXAM 2023 ALL 100 QUESTIONS AND
CORRECT ANSWERS (100% CORRECT
ANSWERS)/ CM ATI COMMUNITY
HEALTH PROCTORED EXAM
2024/2026(NEW!)
SECTION 1: INFECTION CONTROL & ISOLATION PRECAUTIONS
(Questions 1-15)
Question 1: A community health nurse is caring for a client who has laryngeal
tuberculosis. Which of the following isolation precautions should the nurse
recommend for this client?
A) Airborne precautions
B) Contact precautions
C) Protective environment
D) Droplet precautions
,,,,answer,,,: A. Airborne precautions
Rationale: Tuberculosis is primarily transmitted through the airborne route when
an infected person coughs, sneezes, or talks, releasing droplets containing the
,bacteria into the air. Airborne precautions require specialized respiratory
protection (such as N95 respirators) and placing the client in a negative pressure
room.
Question 2: A nurse is caring for a client who is newly diagnosed with active
pulmonary tuberculosis. Which of the following information should the nurse
include in the teaching about disease transmission?
A) "Household members should take isoniazid daily for at least 6 months."
B) "You can discontinue your medication once you feel better and your fever
subsides."
C) "You only need to wear a mask in crowded outdoor spaces."
D) "You will require weekly chest X-rays for the next 12 months."
,,,,answer,,,: A. "Household members should take isoniazid daily for at least 6
months."
*Rationale: Close contacts of individuals with active TB should take isoniazid
prophylaxis for a minimum of 6 months to prevent developing the disease
themselves. TB treatment requires 6-12 months of multidrug therapy;
discontinuation when feeling better leads to drug resistance. Masks are needed in
any shared indoor space.*
Question 3: A community health nurse is planning an in-service about sexually
transmitted infections to a group of adolescents. Which of the following clinical
findings should the nurse include as a manifestation of primary syphilis?
,A) Malaise
B) Maculopapular rash on palms
C) Chancre
D) Lymphadenopathy
,,,,answer,,,: C. Chancre
*Rationale: Primary syphilis is characterized by a painless chancre (ulcer) at the
site of infection, typically appearing 3-90 days after exposure. Secondary syphilis
presents with maculopapular rash on palms/soles, malaise, and lymphadenopathy.*
Question 4: A client comes to a community health clinic with a two-day history of
fever (38.3°C / 101°F), fatigue, loss of appetite, and headache. On examination, the
nurse observes a new, itchy, blister-like rash covering the face, chest, and back.
The provider has been notified. Which of the following interventions should the
nurse anticipate implementing?
A) Place the client on standard precautions only and allow visitors without PPE
B) Place the client in a negative-pressure airflow room and wear an N95 respirator
C) Restrict oral fluids to minimize the risk of additional skin lesions
D) Initiate droplet precautions and request a prescription for antibiotics
,,,,answer,,,: B. Place the client in a negative-pressure airflow room and wear
an N95 respirator
*Rationale: The clinical presentation suggests varicella (chickenpox), an airborne-
transmitted infection. Therefore, airborne isolation precautions are required,
including a negative-pressure room, N95 respirator use, and dedicated equipment.
Antibiotics are ineffective against viral infections.*
, Question 5: A school nurse is notified that an elementary school child is newly
diagnosed with pertussis. Which of the following actions should the school nurse
take? (Select All That Apply)
A) Instruct the parent to keep the child home until the coughing stage has passed
B) Encourage family members to obtain prophylactic treatment
C) Quarantine the children in the child's class
D) Recommend the child receive a pneumococcal vaccine in 28 days
E) Check the immunizations of the child's classmates
,,,,answer,,,: A, B, E
Rationale: The child should remain home during the contagious period (first 3
weeks or until completing 5 days of antibiotics). Family members need
prophylactic antibiotics. Checking immunization status of classmates identifies
susceptible contacts. Quarantine is not typically required for pertussis;
pneumococcal vaccine does not prevent pertussis.
Question 6: A nurse is developing an educational program about intestinal
parasitic disease for child day care staff. Which of the following should the nurse
emphasize to prevent transmission?
A) Spray snack tables with a baking soda solution weekly
B) Store children's personal items in separate lockers
C) Clean food preparation areas with soap and water daily
D) Wipe changing tables with a dilute bleach solution between children
